Here is a copy of my report sheet that I use...
CODE_____________________
Allergies___________________
DOCTOR
__________________________
DIAG
__________________________
__________________________
PMH
__________________________
__________________________
ISOLATION
__________________________
DRESSINGS/WOUNDS
__________________________
__________________________
__________________________
__________________________
WOUND VAC___________________
NEURO
__________________________
__________________________
RESPIRATORY
__________________________
TRACH SIZE____________________
VENT SETTINGS________________
VENT WEANING________________
IV_________________________
___________________________
___________________________
CARDIAC__________________
GI/GU______________________
LAST BM________________________
DIET/TUBE FEEDING
___________________________
___________________________